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Missouri rates for HCPCS B4087

Gastrostomy/jejunostomy tube, standard, any material, any type, each

Facilitymedian $32 · 10th–90th $26–$1100%50%10th90th$32Professionalmedian $28 · 10th–90th $19–$330%20%10th90th$28$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $26.30 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $50.12 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $28.18 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $30.20 / $53.70